Carlos Humberto Santillan, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

E4932 Issued in TX

Practice address

5920 Amarillo Blvd W
Amarillo, TX 79106-4148

Phone

(806) 353-9181

Fax

(806) 359-5217

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71057

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amarillo Nephrology Associates, P.a.

  • Specialist
  • Amarillo, TX
  • NPI 1861507964
  NPD (past)
• Bio-Medical Applications of Amarillo, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Amarillo, TX
  • NPI 1902918881
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053415646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 LYNNLEE CIRCLE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211807",
            "telephone_number": "806-353-7860",
            "fax_number": "806-359-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 AMARILLO BLVD W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064148",
            "telephone_number": "806-353-9181",
            "fax_number": "806-359-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLAN",
        "first_name": "CARLOS",
        "middle_name": "HUMBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "E4932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000W9666",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Dee Ann Sandorskey, LPC
• Jeannette Sandoval, FNP
• Rita A Sandoval, LMSW
• Kaylyn Sanmiguel, RBT
• William Charles Santer III, MA
• Omar Santos
• Amy D Sappington, NP
• Shelley Lynne Sappington, REGISTERED NURSE
• Raghavendra Narayana Saralaya, M.D.
• Shilpa Raghavendra Saralaya, M.D.

• Nephrology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.